分离性垂直斜视手术治疗的临床观察

Clinical observation of dissociated vertical deviation surgery

目的:探讨分离性垂直斜视有效的手术治疗方法。方法:回顾性分析38例61眼分离性垂直斜视患者行上直肌大量后徙,合并下斜肌亢进者同时行下斜肌后徙转位术的临床资料。观察术后效果。结果:术后满意46眼,满意率75%,术后改善14眼,改善率23%,无效1眼。结论:上直肌大量后徙术和下斜肌后徙转位术是治疗分离性垂直斜视的有效方法。合并有下斜肌亢进者,首选下斜肌后徙转位术,无下斜肌亢进者,首选上直肌后徙术。

AIM：To discuss the effective surgical measures of dissociated vertical deviation（DVD） METHODS：The effectiveness of the surgical treatment of 38 cases（61 eyes） with DVD with large recession of superior rectus muscle or combined with anterior transposition of the inferior oblique muscle to the patients with inferior oblique muscle overaction was retrospectively analysed.The curative effect was observed.RESULTS：The treatment results of 46 eyes were qualified in appearance after surgery,satisfactory ratio was 75%,and 14 eyes showed improvement after treatment,improvement ratio was 23%,one eye ineffectively.CONCLUSION：It is an effective method for DVD to treat with large recession of superior rectus muscle and anterior transposition of the inferior oblique muscle.When DVD combines with inferior oblique muscle overaction,anterior transposition of the inferior oblique muscle is preferred as the initial procedure,if it does not,the large recession of superior rectus muscle should be the first choice.